Part B News Features
Question: I saw a recent report on telehealth that addresses a situation in which the telehealth patient refuses follow-up care. In the scenario, the patient is determined by the provider to require a... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
Both utilization and denial rates fluctuate wildly among different flu vaccines paid for by Medicare, and the differences remain stark even among places of service.... More
Question: I saw a recent report on telehealth that addresses a situation in which the telehealth patient refuses follow-up care. In the scenario, the patient is determined by the provider to require a... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
Both utilization and denial rates fluctuate wildly among different flu vaccines paid for by Medicare, and the differences remain stark even among places of service.... More
Tools
About 100 codes, including E/M office visits (99201-99215), are eligible for telehealth reporting under Medicare in 2020. In response to the COVID-19 pandemic, CMS will allow Medicare providers to deliver telehealth services without site-of-service restrictions.
Modifier 25 indicates a "significant, separately identifiable E/M service." Incorporate the tips below and click the "Download file" link above to access a modifier 25 decision tree.
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